Alaa Elkhatib, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

0401417658 Issued in VA

Practice address

18121 Jefferson Davis Hwy
Ruther Glen, VA 22546-2921

Phone

(804) 589-1491

Fax

(804) 589-1494

NPI assigned

Aug 26, 2021

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Colonial Heights Dental Care, Inc.

  • General Practice Dentistry
  • Colonial Heights, VA
  • NPI 1003352931
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1629936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629936000000",
    "number": "1477220580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "823 E MAIN ST APT 1804",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232193316",
            "telephone_number": "804-539-2115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18121 JEFFERSON DAVIS HWY",
            "city": "RUTHER GLEN",
            "state": "VA",
            "postal_code": "225462921",
            "telephone_number": "804-589-1491",
            "fax_number": "804-589-1494"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2018 Boulevard",
            "address_purpose": "LOCATION",
            "city": "Colonial Heights",
            "state": "VA",
            "postal_code": "238342310",
            "country_code": "US",
            "telephone_number": "804-520-1741",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELKHATIB",
        "first_name": "ALAA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-26",
        "last_updated": "2021-08-26",
        "certification_date": "2021-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401417658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chris Davis
• Joyce Delneky, M.D.
• Christine Marie Desiderati, LPC
• Eric Kofi Donkor
• Dpmperillonrva LLC
• Evelyn J Rogers (Evelyn J Rogers Consulting and Services)
• Cecilia Ntobo Faison Ngwa
• Faith and Grace Home Health Care LLC
• Sheryl Finucane, P.T.
• Tamara Krantz Fleming, PMHNP-BC

• Dentist in Ruther Glen, VA
• Providers in Ruther Glen, VA by specialty
• Dentist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.